| Date of birth | |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Gloucester, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Rev R H D Kelly, The Rectory, Millthorpe, New South Wales |
| Previous military service | Australian Army Medical Corps Res |
| Enlistment date | |
| Rank on enlistment | HON LT |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps Dental Corps |
| Promotions |
HON LT Unit: MED Dental Corps Promotion date: |
| Fate | Returned to Australia |